TITLE:
Secondary Reconstruction of Recurrent Primary Intraosseous Meningioma of the Calvarium Using a Fasciocutaneous Anterolateral Thigh Free Flap
AUTHORS:
Raakhi Mistry, Chris Tsimiklis, Marcus Wagstaff, Amal Abou-Hamden, Yugesh Caplash
KEYWORDS:
Primary Intraosseous Meningioma; Fasciocutaneous Free Flap
JOURNAL NAME:
Neuroscience and Medicine,
Vol.4 No.4,
December
9,
2013
ABSTRACT: We present a patient with a primary
intraosseous meningioma of the calvarium that recurred three years after
initial resection and reconstruction with a free anterolateral thigh (ALT)
flap. The patient re-presented with progressive swelling in the same area. Imaging
confirmed aggressive tumour recurrence with both intra- and extra-cranial diseases and also extension to the ipsilateral
orbit. The original anterolateral free flap was raised on anterior pedicle and
further debulking of the
tumour was performed. Histology confirmed widely infiltrative atypical
meningioma (WHO grade II). This case highlights the benefit of using a
fasciocutaneous free flap for reconstruction given the potential for tumour recurrence.